Serous Detachments of the Retinal Pigment Epithelium in Patients with Senile Macular Disease

Braunstein, Robert A.; Donald, J.; Gass, Margery

doi:10.1016/0002-9394(79)90660-3

Cited by 44 publications

(17 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When only the older age group was considered (39 eyes) the percentage of complications increased to 35.9%. Similar figures were obtained by other authors [1,22]. Spontaneous flattening of the pigment epithelial detachment or progression to geographic atrophy are also possible.…”

Section: Senile Macular Diseasesupporting

confidence: 89%

Natural history and prognosis of choroidal neovascularization

Laey

1983

Doc Ophthalmol

View full text Add to dashboard Cite

show abstract

Section: Senile Macular Diseasesupporting

confidence: 89%

Natural history and prognosis of choroidal neovascularization

Laey

1983

Doc Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Several authors have reported that the photocoagulation of occult CNV, identified by means of the indirect fluorescein angiographic signs (presence of notching, hot spots, areas of leakage, irregular staining, or uneven filling), could lead to SPED resolution (Braunstein & Gass 1979;Gass 1984;Schatz & Patz 1973;Singerman 1988;Maguire et al 1990).…”

Section: Discussionmentioning

confidence: 99%

“…S erous pigment epithelium detachment (SPED) in age-related macular degeneration (AMD) has been associated with choroidal neovascularisation (CNV) with increased risk of visual loss, in from 24% to 67% of cases (Teeters & Bird 1973;Meredith et al 1979;Braunstein & Gass 1979;Klein et al 1980;Gass 1984;Casswell et al 1985;Poliner et al 1986;Elman et al 1986;Hartnett et al 1992).…”

mentioning

confidence: 99%

Hyperfluorescence associated with serous retinal pigment epithelial detachment on indocyanine green angiography

Parodi

Saviano

Bondel

et al. 2000

Acta Ophthalmologica Scandinavica

View full text Add to dashboard Cite

ABSTRACT.Purpose: Indocyanine green angiography has been reported to improve detection and delineation of occult choroidal neovascularisation in serous pigment epithelium detachment in age-related macular degeneration. The study aims to evaluate the visual acuity results of eyes affected by serous pigment epithelium detachment in age-related macular degeneration, having had indocyanine greendirected laser photocoagulation, and to correlate them to the pattern of serous pigment epithelium detachment on indocyanine green angiography. Methods: Thirty-four eyes of 31 patients affected by serous pigment epithelium detachment in age-related macular degeneration were prospectively considered. Each patient underwent an ophthalmological examination including fluorescein and indocyanine green angiography one day before, and 6 weeks, 3 months, 6 months, 9 months, 12 months and 24 months after krypton-laser treatment. The serous pigment epithelium detachment was classified in the late-phases angiograms as either hypofluorescent, isofluorescent or hyperfluorescent comparing the fluorescence of the serous pigment epithelium detachment with the choroidal background fluorescence. Results: The indocyanine green-guided laser treatment was associated with a temporary stabilization and a long-term progressive reduction of visual acuity: after 24 months visual acuity improved in 2.9%, stabilized in 26.5% and worsened in 70.5% of cases. Serous pigment epithelium detachment presenting a pretreatment hyperfluorescence had a final visual acuity of 0.06, with subfoveal choroidal neovascularisation development in 100% of cases, whereas serous pigment epithelium detachment presenting a pretreatment hypofluorescence and isofluorescence showed a final visual acuity of 0.12, with subfoveal choroidal neovascularisation development in 43.5% of eyes, with statistically significant difference. Conclusion: Overall visual acuity decreases with time after indocyanine greenguided laser treatment of choroidal neovascularisation in serous pigment epithelium detachment, and serous pigment epithelium detachment becoming hyperfluorescent in the late-phases of indocyanine green angiography has the worst functional outcome.Key words: indocyanine green angiography -hyperfluorescence -serous retinal pigment epithelial detachment.

show abstract

“…On initial examination of patients with PED 73% had a visual acuity of 6/24 or more; about 10 months later only 27% had a visual acuity of 6/24 or more. Incidentally complete remission of the PED may occur, resulting in only pigment-epithelial disturbance, as found in 3 out of 18 patients by Teeters and Bird (1973b) and 1 out of 24 patients by Braunstein and Gass (1979).…”

Section: B the Exudative Stagementioning

confidence: 96%

“…7 -0.8 in 8 eyes. Less favourable are the results of Braunstein and Gass (1979): 13 out of 21 eyes showed a decrease in visual acuity during a follow-up period of 1.25-7 years; 14 eyes developed choroidal neovascularisation. When compared with an untreated group of 24 eyes, 14 of which developed neovascularisation, no difference was evident.…”

Section: B the Exudative Stagementioning

confidence: 96%

Argon and krypton laser photocoagulation of senile exudative macular degeneration

Oosterhuis

1983

Doc Ophthalmol

View full text Add to dashboard Cite

Senile exudative macular degeneration can be divided into two stages: the pre-exudative stage of drusen and pigment-epithelial degeneration and the exudative stage of pigment-epithelial detachment (PED) and the disciform lesion. Patients with PED may retain useful vision for many years but finally subretinal neovascularisation develops resulting in a disciform scar with loss of central vision. Photocoagulation has no favourable therapeutic effect. The disciform lesion has a poor visual outcome. In part of the patients the subretinal neovascularisation can successfully be treated by laser coagulation. The prognosis depends on duration of symptoms, visual acuity and the distance between neovascularisation and the foveal area. As the newly formed vessels will grow rapidly towards the posterior pole, patients with a senile disciform lesion must be considered as emergency cases. The krypton laser has advantages over the argon laser but to what degree is still to be assessed.

show abstract

Serous Detachments of the Retinal Pigment Epithelium in Patients with Senile Macular Disease

Cited by 44 publications

References 4 publications

Natural history and prognosis of choroidal neovascularization

Natural history and prognosis of choroidal neovascularization

Hyperfluorescence associated with serous retinal pigment epithelial detachment on indocyanine green angiography

Argon and krypton laser photocoagulation of senile exudative macular degeneration

Contact Info

Product

Resources

About